DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wiseman, Krista	DOIID	820039	NAIC NPN	14400480

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/9/2013		10/31/2024
Active	Non Resident	Agent	Property	9/9/2013		10/31/2024
Active	Non Resident	Agent	Casualty	9/9/2013		10/31/2024
Active	Non Resident	Agent	Life	9/9/2013		10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/8/2014
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/8/2014
Inactive	New York Life Insurance Company	300431	Agent - Health	1/13/2014	9/17/2015
Inactive	New York Life Insurance Company	300431	Agent - Life	1/13/2014	9/17/2015
Active	United States Fire Insurance Company	582240	Agent - Casualty	1/11/2018
Active	United States Fire Insurance Company	582240	Agent - Health	1/11/2018
Active	United States Fire Insurance Company	582240	Agent - Property	1/11/2018
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	1/7/2014	10/8/2014
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	1/7/2014	10/8/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/27/2014
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/27/2014
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Property	1/27/2014	10/8/2014
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty	1/27/2014	10/8/2014
Active	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019
Active	Mercer Health & Benefits LLC	607080	Agent - Life	1/15/2019
Active	Mercer Health & Benefits LLC	607080	Agent - Property	1/15/2019
Active	Mercer Health & Benefits LLC	607080	Agent - Casualty	1/15/2019